Aim: To Study On Management Of Cataract In Colobomatous Eyes In A Tertiary Eye Centre In Jharkhand Methods: Total of 26 patients with colobomatous eyes were included in the study who underwent cataract surgery. Laterality of coloboma was documented with findings such as microcornea, iris, retinal and optic disc coloboma. Pre and post operative assessment was done with additional data regarding any other intervention. Small incision cataract surgery was done in all cases. Results: The complications were seen more in cases with harder density cataracts, which are anticipated due to increased technical difficulties in these cases. In the preoperative assessment, the extent of the ocular structures affected by the coloboma was determined, and uncertainties about the degree of the posterior segment involvement was determined by B-scan ultrasound. Conclusion: There needs to be difference in management of cataractous coloboma patients with and without disc & macula involvement. Patients without disc and macula involvement and relatively good visual acuity tends to have a better surgical outcome as per the normal SICS data but this is not true for patients for severely impaired visual acuity due to associated macula or disc involvement
